Comprehensive Pediatric Nursing Proctored Exam
Review: Key Interventions, Medications, Safety, and
Developmental Care |Rationales Graded A+ Latest
Updated 2026
Prep for peds IV insertion
apply lidocaine cream 1 hour prior to insertion
Acetylsalicylic acid poisoning finding
High fever (hyperpyrexia)
Acute lymphocytic leukemia (ALL) nursing actions
Initiate bleeding precautions (decreased platelet counts increase bleeding risk)
Muscular dystrophy planning
Recommend w/c use to prevent lower extremity stress and incentive spirometer for
respiratory strength
School age bicycle safety
Walk bike through intersections
When seated, feet 3-6 inches off ground
Infant immunization actions
Pacifier with oral sucrose and local anesthetics cream immediately beforehand
Autism inpatient care planning
Keep staff visits brief, private room if available
Infant with HF that gets furosemide
160 BPM, tachycardia can indicate worsening of HF
Arm cast teachings
Elevate above heart level to minimize edema
Post-Tonsillectomy immediate intervention
Emesis with dark brown blood indicating active bleeding
, Infant with severe dehydration finding
Increased respiratory rate (tachypenea)
Approach of child with hearing loss
Use a light touch to avoid startling them
Procedure positioning for lumbar puncture
Lateral (lay on side)
Toddler teachings about digoxin administration
Give water afterwards
Nursing actions for acute epiglottitis
Droplet precautions (commonly caused by flu or strep)
Preteen hormonal teachings
Mood swings
Child with potassium lower than 3.5-5.0 findings
Hyporeflexia (weak hand grasp, decreased response to deep tendon reflex stimulation)
One contraindication to MMR vaccine
Neomycin allergy
Child burn care
I&O's / high calorie diet / aseptic technique with dsg changes / oral or IV pain meds (not IM
which can further damage tissue damage)
Wilms tumor roommate choices
Avoid patients with viral or bacterial infections
Preschool-age curious about death
What happened to the body (view death as temporary or reversible)
2 y/o that holds breath during temper tantrums
Can be normal behavior but can also indicate an underlying medical condition
Finding in first 24 hours of fractures
Review: Key Interventions, Medications, Safety, and
Developmental Care |Rationales Graded A+ Latest
Updated 2026
Prep for peds IV insertion
apply lidocaine cream 1 hour prior to insertion
Acetylsalicylic acid poisoning finding
High fever (hyperpyrexia)
Acute lymphocytic leukemia (ALL) nursing actions
Initiate bleeding precautions (decreased platelet counts increase bleeding risk)
Muscular dystrophy planning
Recommend w/c use to prevent lower extremity stress and incentive spirometer for
respiratory strength
School age bicycle safety
Walk bike through intersections
When seated, feet 3-6 inches off ground
Infant immunization actions
Pacifier with oral sucrose and local anesthetics cream immediately beforehand
Autism inpatient care planning
Keep staff visits brief, private room if available
Infant with HF that gets furosemide
160 BPM, tachycardia can indicate worsening of HF
Arm cast teachings
Elevate above heart level to minimize edema
Post-Tonsillectomy immediate intervention
Emesis with dark brown blood indicating active bleeding
, Infant with severe dehydration finding
Increased respiratory rate (tachypenea)
Approach of child with hearing loss
Use a light touch to avoid startling them
Procedure positioning for lumbar puncture
Lateral (lay on side)
Toddler teachings about digoxin administration
Give water afterwards
Nursing actions for acute epiglottitis
Droplet precautions (commonly caused by flu or strep)
Preteen hormonal teachings
Mood swings
Child with potassium lower than 3.5-5.0 findings
Hyporeflexia (weak hand grasp, decreased response to deep tendon reflex stimulation)
One contraindication to MMR vaccine
Neomycin allergy
Child burn care
I&O's / high calorie diet / aseptic technique with dsg changes / oral or IV pain meds (not IM
which can further damage tissue damage)
Wilms tumor roommate choices
Avoid patients with viral or bacterial infections
Preschool-age curious about death
What happened to the body (view death as temporary or reversible)
2 y/o that holds breath during temper tantrums
Can be normal behavior but can also indicate an underlying medical condition
Finding in first 24 hours of fractures
